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Effective URL: https://www.availity.com/
Submission: On December 18 via api from AE — Scanned from DE
Effective URL: https://www.availity.com/
Submission: On December 18 via api from AE — Scanned from DE
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Skip to site content New to Availity? Get Started * Solutions * For Payers * For Providers * For Vendors * Payer Solutions Overview Simplify complex processes and improve payer-provider collaboration. * Provider Engagement Streamline workflows and improve engagement. * Provider Directories Maintain compliance by capturing provider updates at the source. * Interoperability Transform data-sharing capabilities and reduce the cost of care. * End-to-End Authorizations Ease prior authorization burdens with AI-driven solutions. * Digital Correspondence Reduce print and postage costs and replace manual processes. * Payment Accuracy Lower admin costs and prevent revenue leakage. * Provider Solutions Overview Streamline workflows, reduce denials, and ensure accurate payments. * Revenue Cycle Management Automated solutions covering pre-service, post-service, and post-adjudication. * Eligibility & Coverage * Authorizations * Claim & Claim Status * Denial Prevention & Management * Vendor Solutions Overview Seamlessly deliver complete and accurate healthcare information. * Healthcare Connectivity Facilitate seamless data exchange via X12, REST, and FHIR APIs. * Products * Availity Essentials Streamline provider workflows and improve collaboration. * Availity Essentials Plus Reach more health plans while streamlining pre-service and billing. * Availity Essentials Pro Boost efficiency, prevent denials, expedite payments. * Availity Fusion Enhance clinical data quality for optimized downstream workflows. * Availity AuthAI Simplify the prior authorization review process. * EDI Clearinghouse Connect to health plans nationwide. * Intelligent Gateway Seamlessly connect and exchange administrative data. * API Marketplace REST and FHIR-based APIs for fast, secure connectivity. * Provider Data Management Maintain accurate provider directories. * Payer-to-Payer Hub Streamline data exchange to meet mandatory compliance. * Insights * Case Studies See success stories from our customers. * Blog Get the latest industry insights. * Resources * Essentials Registration & Support Get help registering or using Essentials. * Training & Education Learn about our training courses. * Essentials Payer List * Essentials Pro Payer List * Supported Systems * Preferred Vendors * Network Status * About * News & Press * Careers * Leadership * Availity Foundation * History * Availity India * Connect * Contact Sales Find the best way to get in touch. * Customer Support Get in touch with customer support. * Locations See where we're located. * Events Learn about upcoming industry events. * * Essentials Login * * Solutions Back SOLUTIONS * For Payers Simplify complex processes and improve payer-provider collaboration. Back FOR PAYERS * Payer Solutions Overview Simplify complex processes and improve payer-provider collaboration. * Provider Engagement Streamline workflows and improve engagement. * Provider Directories Maintain compliance by capturing provider updates at the source. * Interoperability Transform data-sharing capabilities and reduce the cost of care. * End-to-End Authorizations Ease prior authorization burdens with AI-driven solutions. * Digital Correspondence Reduce print and postage costs and replace manual processes. * Payment Accuracy Lower admin costs and prevent revenue leakage. * For Providers Streamline workflows, reduce denials, and ensure accurate payments. Back FOR PROVIDERS * Provider Solutions Overview Streamline workflows, reduce denials, and ensure accurate payments. * Revenue Cycle Management * Eligibility & Coverage * Authorizations * Claim & Claim Status * Denial Prevention & Management * For Vendors Seamlessly deliver complete and accurate healthcare information. Back FOR VENDORS * Vendor Solutions Overview Seamlessly deliver complete and accurate healthcare information. * Healthcare Connectivity Facilitate seamless data exchange via X12, REST, and FHIR APIs. * Products Back PRODUCTS * Availity Essentials Streamline provider workflows and improve collaboration. * Availity Essentials Plus Reach more health plans while streamlining pre-service and billing. * Availity Essentials Pro Boost efficiency, prevent denials, expedite payments. * Availity Fusion Enhance clinical data quality for optimized downstream workflows. * Availity AuthAI Simplify the prior authorization review process. * EDI Clearinghouse Connect to health plans nationwide. * Intelligent Gateway Seamlessly connect and exchange administrative data. * API Marketplace REST and FHIR-based APIs for fast, secure connectivity. * Provider Data Management Maintain accurate provider directories. * Payer-to-Payer Hub Streamline data exchange to meet mandatory compliance. * Insights Back INSIGHTS * Case Studies See success stories from our customers. * Blog Get the latest industry insights. * Resources Back RESOURCES * Essentials Registration & Support Get help registering or using Essentials. * Training & Education Learn about our training courses. * Essentials Payer List * Essentials Pro Payer List * Supported Systems * Preferred Vendors * Network Status * About Back ABOUT * News & Press * Careers * Leadership * Availity Foundation * History * Availity India * Connect Back CONNECT * Contact Sales Find the best way to get in touch. * Customer Support Get in touch with customer support. * Locations See where we're located. * Events Learn about upcoming industry events. * * Essentials Login New to Availity? WHERE HEALTHCARE CONNECTS TRANSFORMING PAYER-PROVIDER ENGAGEMENT Learn About Availity AVAILITY LIFELINE SERVICES CONNECTIVITY YOU CAN COUNT ON Learn More For Providers Streamlined workflows, secure and reliable connectivity, and world-class customer support provide the building blocks of revenue cycle success. Learn More For Payers Robust, omni-channel provider engagement solutions help reduce the cost and complexity of building and maintaining internal systems. Learn More For Vendors Nationwide healthcare connectivity delivers the reach you need to serve your customers. Learn More A PATIENT-CENTERED APPROACH TO HEALTHCARE INNOVATION At the center of every payer-provider interaction is the patient, and ensuring a delightful experience for every patient requires deep collaboration throughout the care continuum. For more than 20 years, Availity has operated at the intersection of payers and providers, delivering an integrated provider engagement platform with mission-critical solutions that: * Connect stakeholders across the healthcare ecosystem * Streamline administrative and clinical workflows to reduce waste and abrasion * Leverage AI effectively and responsibly to deliver next-generation tools and experiences 13B Annual Transactions 2.9M Active Providers 15K Vendor Partners What can Availity do? Simplify revenue cycle and provider engagement processes. Availity’s two-sided network allows payers and providers to share accurate, up-to-date information earlier in the healthcare lifecycle. This process of shifting left helps create shared truths that reduce healthcare waste and abrasion, keeping the focus on optimized patient care. Automate all the right things. Deliver the right information at the right time in the right place. Receive authorizations in seconds, not days. Digitize correspondence. Answer questions early and completely. Reduce denials and unnecessary rework. Pay claims accurately the first time. Infuse clinical content into administrative workflows. Simplify the business of healthcare for payers and providers CONNECT. COLLABORATE. TRANSFORM. COMMON ISSUES FOR PROVIDERS Revenue Cycle Management Learn how Availity can help you prioritize care with automated RCM solutions covering pre-service, post-service, and post-adjudication phases. Learn more Eligibility & Coverage Availity offers diverse eligibility solutions for healthcare providers, systems, and vendors. Learn more Authorizations Leverage responsible AI for next-gen prior authorization solutions, minimizing care delays. Learn more Claim & Claim Status Discover Availity’s tailored claim submission and status solutions, ensuring seamless processes. Learn more Denial Prevention & Management Discover how Availity’s robust revenue cycle tools support denial prevention and management, reducing write-offs and optimizing cash flow. Learn more See all Solutions TYPICAL OBSTACLES FOR PAYERS Provider Engagement Streamline workflows, improve engagement and deliver better provider info with integrated Provider Engagement solutions from Availity. Learn more Provider Directories Ensure accurate provider directories with Availity’s provider data management solution. Learn more Interoperability Explore how Availity’s solutions enhance data sharing between payers and providers. Learn more End-to-End Authorizations Learn how Availity eases prior authorization burdens with AI-driven solutions to help reduce costs and improve care. Learn more Digital Correspondence Reduce print and postage costs and replace manual processes with digital solutions. Get letter delivery with digital correspondence from Availity. Learn more Payment Accuracy Lower admin costs and prevent revenue leakage with AI-powered payment accuracy solutions from Availity. Learn more See all Solutions INSIGHTS FROM AVAILITY * 6 HIDDEN CHALLENGES OF PAYER-TO-PAYER DATA EXCHANGE The Centers for Medicare & Medicaid Services (CMS) Payer-to-Payer Data Exchange mandate might seem straightforward on paper, but in reality, implementing it is far more complex than many health plans… READ MORE * THE IMPACT OF KLAS: IMPROVING HEALTHCARE THROUGH TRANSPARENCY The Impact of KLAS: Improving Healthcare through Transparency In a recent webinar hosted by Availity, representatives from the independent research organization KLAS discussed the ways that… READ MORE * UNLOCKING AUTOMATION WITH ADVANCED REAL-TIME ELIGIBILITY With revenue cycle management top of mind for many health systems, healthcare leaders are continuously seeking ways to streamline processes and reduce claim denials. When it comes to obtaining a… READ MORE See more posts Case Study AVAILITY’S AUTHORIZATION SOLUTION Health plans and providers don’t always see eye to eye, but when it comes to prior authorizations there’s strong consensus that the process isn’t ideal—for anyone. Read the study IT'S TIME TO FIND A BETTER WAY WITH AVAILITY. Connect With Us * Regulatory Compliance * Memberships * Responsible Disclosure * Supplier Code of Conduct * Essentials Login * © Copyright 2024 Availity, LLC. All rights reserved. * Privacy Policy * Terms of Use * * * * * Availity is the place where healthcare finds the answers needed to shift focus back to patient care. By solving the communication challenges between healthcare stakeholders, Availity creates a richer, more transparent exchange of information among health plans, providers, and technology partners. As the nation’s largest health information network, Availity facilitates over 13 billion clinical, administrative, and financial transactions annually. The company’s suite of dynamic products, built on a powerful, intelligent platform, enables real-time collaboration for success in a competitive, value-based care environment. Cookies Button COOKIE CONSENT & PREFERENCES This Site uses Cookies to collect certain information related to your use of our Site, which may include Personal Information. Cookies enable our Site to recognize you or your computer when you return to our Site. We may utilize third parties to send and manage Cookies. By default, strictly necessary and performance cookies may be enabled. If we have detected an opt-out preference signal, then it will be honored. For optimal use, please select your preferences before proceeding. Further information is available in theAvaility Privacy Policy. Accept All Cookies Cookie Preferences Your Opt-Out Preference is Honored for this Site. 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